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State Scope of Practice Laws

Scope of practice laws for medical assistants may vary by state.

Key States  |  Review the key states listed below for specific language pertaining to medical assisting scope of practice.

Your State  |  For specific questions regarding your state, submit your query below.

Key State Scope of Practice Laws

Alabama
Letter Regarding Delegable Duties in Alabama
Alabama BON Administrative Code, Chapter 610-x-6: Standards of Nursing Practice

Alaska
12 AAC 44.966. Delegation of the Administration of Injectable Medication
Alaska State Medical Board: Delegating to Medical Assistants (Unlicensed Assistive Personnel)
Statutes and Regulations: Medical (January 2017)

Statement from Legal Counsel Balasa: Note the following from page 32 of the Statutes and Regulations document, which is in the regulations section:

12 AAC 40.480. EXEMPTIONS. (a) Nothing in this chapter prevents or regulates the use of a community health aid in the usual and customary manner in the rural areas of the State of Alaska. (b) Nothing in this chapter regulates, restricts, or alters the functions of a person traditionally employed in an office, by a physician, in a position not regulated by the State Medical Board under AS 08.64.
Medical assistants are not "regulated by the State Medical Board under AS 08.64." Therefore, it is my legal opinion that the policy statement of the Board offers guidance, but does not prohibit physicians from delegating to unlicensed professionals such as medical assistants the administration of IM, sub-Q, and ID injections under the direct/onsite supervision of a physician.

 

Arizona
R4-16-101. Definitions
32-1456. Medical assistants; use of title; violation; classification
Content Requirements for CAAHEP Accredited Medical Assisting Programs

Arkansas
Act 472: An Act to Authorize Physicians and Podiatrists to Delegate the Performance of Some Simple Procedures to Employees; and for Other Purposes
Regulation 31: Physician Delegation Regulation

California
Medical Board of California: Frequently Asked Questions—Medical Assistants

Colorado 
Letter Regarding Delegable Duties in Colorado
Rules Regarding the Delegation and Supervision of Medical Services to Unlicensed health Care Providers

Connecticut 
Connecticut Department of Public Health: Medical Assistant Information

Delaware
Letter Regarding Delegable Duties in Delaware

Florida
2014 Florida Statutes: 458.3485 Medical Assistant
Florida Board of Medicine: Ruling on Delegation of IV Infusion Therapy
Florida Administrative Code, 64B8-2.001

Georgia
Medical Assistant Law and Rules

Hawaii
Letter Regarding Delegable Duties in Hawaii

Idaho
Letter Regarding Delegable Duties in Idaho

Illinois
Administrative Code, Section 1285.335 Physician Delegation of Authority
"Illinois nurse law safeguards physician delegation to medical assistants"
Public Act 096-0618, Sec. 54.2 Physician Delegation of Authority
Illinois Medical Practice Act
Illinois Nurse Practice Act

Indiana
Letter Regarding Delegable Duties in Indiana

Iowa
Letter Regarding Delegable Duties in Iowa

Kansas
Letter Regarding Delegable Duties in Kansas

Kentucky
Letter Regarding Delegable Duties in Kentucky

Louisiana
Letter Regarding Delegable Duties in Louisiana

Maine
Maine Revised Statutes: 3270-A. Assistants

Maryland
Code of Maryland Regulations: 10.32.12

Massachusetts
Circular Letter DCP 16-12-664: Immunization Administration by Medical Assistants
Acts (2016) Chapter 234: An Act Increasing Access to Immunization

Michigan
Letter Regarding Delegable Duties in Michigan

Minnesota
Letter Regarding Delegable Duties in Minnesota

Mississippi
Letter Regarding Delegable Duties in Mississippi

Missouri
Letter Regarding Delegable Duties in Missouri

Montana
Montana Code Annotated, 37-3-104: Medical Assistants—Guidelines
Administrative Rules of Montana: 24.156.640 Medical Assistant

Nebraska 
Letter Regarding Delegable Duties in Nebraska

Nevada
Nevada Statutory Language; Nevada Regulation Language of the Board of Medical Examiners

New Hampshire
New Hampshire Board of Medicine: Position on Supervision of Medical Assistants

New Jersey
New Jersey Board of Medical Examiners: 13:35-6.4

New Mexico
Letter Regarding Delegable Duties in New Mexico
61-6-17. Exceptions to act. (Repealed Effective July 1, 2016.)

New York
Practice Alerts and Guidelines: Utilization of Medical Assistants

North Carolina
Delegable Duties: Letter Regarding Section 90-18(c)(13) of the North Carolina Statutes
Office Practice Setting: UAP Delegation
North Carolina Medical Board: Delegating Medical Tasks to Unlicensed Personnel

North Dakota
Letter Regarding Delegable Duties in North Dakota
Initial Medication Assistant III Application

Ohio
Ohio Administrative Code: 4731.053 Administrative Rules for Physician's Delegation of Medical Task
Ohio Administrative Code: 4731-23: Delegation of Medical Tasks
Ohio Administrative Code 4723-13-05: Criteria and standards for a licensed nurse delegating to an unlicensed person
Ohio Administrative Code 4723.48 Delegation of authority to administer certain drugs
Ohio Administrative Code 4723.489 Delegated authority to administer drugs
State Medical Board of Ohio: Letter Regarding Physician Delegation of IV Catheter

Oklahama 
Letter Regarding Delegable Duties in Oklahoma

Oregon
Letter Regarding Delegable Duties in Oregon

Pennsylvania
Letter Regarding Delegable Duties in Pennsylvania
Subchapter G. Medical Doctor Delegation of Medical Services

Rhode Island
Letter Regarding Delegable Duties in Rhode Island
Guidelines Regarding Scope of Practice, Supervision, and Minimum Expectations of Conduct of Medical Assistants

South Carolina
Letter Regarding Delegable Duties in South Carolina
South Carolina Medical Practice Act: Delegation to Unlicensed Professionals
The Supervision of Unlicensed Personnel and the Corporate Practice of Medicine

South Dakota
South Dakota Board of Nursing: Chapter 36-9B: Medical Assistants

Tennessee
Letter Regarding Delegable Duties in Tennessee

Texas
Letter Regarding Delegable Duties in Texas
169.3. Administration of Drugs
Texas Occupations Code, Title 3, Chapter 157: Authority of Physician to Delegate Certain Medical Acts

Utah
Letter Regarding Delegable Duties in Utah
Utah Medical Practice Act, Part 1: General Provisions
General Rule of the Division of Occupational and Professional Licensing

Vermont
Letter Regarding Delegable Duties in Vermont

Virginia
Virginia Board of Medicine: Injections by Trained Individuals Now Allowed
Letter Regarding Delegable Duties in Virginia
Virginia BOME Newsletter: Injections by Trained Individuals Now Allowed

Washington
Washington State Department of Health: Medical Assistant—Frequently Asked Questions

West Virginia
Delegation of Medication Administration by an Advance Practice Registered Nurse
Letter Regarding Delegable Duties in West Virginia

Wisconsin
Letter Regarding Delegable Duties in Wisconsin

Wyoming
Letter Regarding Delegable Duties in Wyoming


Scope of Practice in Your State

AAMA Chief Executive Officer and Staff Legal Counsel Donald A. Balasa, JD, MBA, can inform you about the laws in your state governing medical assistants' scope of practice and other issues that you may be considering as you staff your office.

  • Submit your query via e-mail below or call CEO and Legal Counsel Donald A. Balasa, JD, MBA at 800/228-2262.